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MARION COUNTY BUILDING INSPECTION <br /> SENATORBLDG NO, 225 <br /> 220 HIGH STREET NE <br /> ' SALE"M, OREGON 97301 <br /> <br /> PHONE 588-5147 <br /> CODE-A-PHONE 4:30 P.M.. - 8::00 A.M. <br /> <br />of a registered builder, <br />The work will be performed by 8 registered builder <br />Other <br /> <br />DATE: 10/30/89 TIME: 2:29:40p <br /> <br /> PACIFIC HAZELNUT FAE~I~ <br /> <br />SITUS ADDRESS <br /> <br />SIGNATURE OF APPLICANT <br /> DATE <br /> <br /> TAX LOT <br /> <br /> CONSTRUCTION TYPE <br /> <br />CATEGORY <br /> <br />OCCUPANCY <br /> <br />COMMERCIAL <br /> <br /> 14673 OI~-CINAY NE CONTRACT CITY UGB <br />AUROF~ or 97002 <br /> AURORA YES <br /> <br />USE OF BUILDING <br /> <br />OCCUPANT LOAD <br /> <br /> NO OF BEDROOMS <br /> <br />MAILING ADDRESS SU BOTVISION <br /> <br />SANE <br /> <br />PHONE: 678-2755 <br /> <br />LOt BLOCK SECTION TOWNSHIP <br /> <br />SITE NUMBER; ?506 <br />VALUATION: <br /> RANGE ZONE <br /> <br />MAR <br /> <br />WIDTH DEPTH AREA UNITS <br /> <br /> = <br />. ME~L PERMIT OR APPLICATION NO: <br />/ CONTRACTOR, NO. 1~q. 008 <br />( ROTH HEATING <br />\ 593 SE 1ST AVE <br />kC~BY. ORE~ <br /> <br />IRREG LOT CORNER <br /> NO NO <br /> <br />19932 <br /> <br />MECHANICAL BASE FEE <br />FLEET SURCHARGE ~ZONE 6 <br />MECHANICAL STATE SURCHARGE <br /> <br />PAYEE: A'OTH HEATING <br /> <br />TOTAL ASSESSED FEES <br />PREVIOOS RECEIPTS <br />THIS RECEIPT <br /> <br />0LIANTITY AJvlOUNT <br /> 1 -$2.00 <br /> -$10.00 <br /> <br /> -$0.60 <br /> <br />-$20.28 S0.00 <br />-$20.28 <br />BALANCE DUE $0.00 <br /> <br />21162 <br /> <br />RECEIVED BY: cr ......... TYPE: RF CHECK ~: 0 <br />THIS IS NOT A PER~IT - THiS I$ A~ <br /> <br />RE'lARKS: REFUND OF PERMIT 19870 <br /> <br />OFFICE COPY <br /> <br /> <br />